Evidence map›Paper›PMID 42098072›Full record

ArticleBDJ open2026

Remineralization of early caries lesions by calcium hypophosphite in vitro: a surface microhardness study.

Bennett Tochukwu Amaechi, Razina Vohra, Sima Abdollahi, Kelly Yang, Amos Chinedu Obiefuna, Erik Schulze Zur Wiesche, Joachim Enax

Abstract read
In one paragraph

Article in BDJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Bennett Tochukwu AmaechiDepartment of Comprehensive Dentistry, School of Dentistry, University of Texas Health San Antonio, San Antonio, TX, USA. amaechi@uthscsa.edu.ORCID http://orcid.org/0000-0002-5097-4466
Razina VohraDepartment of Comprehensive Dentistry, School of Dentistry, University of Texas Health San Antonio, San Antonio, TX, USA.
Sima AbdollahiDepartment of Comprehensive Dentistry, School of Dentistry, University of Texas Health San Antonio, San Antonio, TX, USA.
Kelly YangDepartment of Comprehensive Dentistry, School of Dentistry, University of Texas Health San Antonio, San Antonio, TX, USA.
Amos Chinedu ObiefunaDepartment of Mathematics and Statistics, University of Maryland Global Campus, San Antonio, TX, USA.
Erik Schulze Zur WiescheResearch Department Dr. Kurt Wolff GmbH & Co. KG, Bielefeld, Germany.
Joachim EnaxResearch Department Dr. Kurt Wolff GmbH & Co. KG, Bielefeld, Germany. joachim.enax@drwolffgroup.com.ORCID http://orcid.org/0000-0002-8334-6423

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis in vitro study used a pH cycling model to compare the caries remineralizing efficacy of toothpaste formulations containing calcium hypophosphite (CaP), hydroxyapatite (HAP), or sodium fluoride (NaF).

methodsBovine enamel blocks with plaque-induced initial caries lesions were randomized (n = 30/group) to toothpaste formulations containing 1% CaP, 20% HAP, 1% CaP+20% HAP, or 1450 ppm fluoride provided as NaF. Lesion-bearing samples were subjected to a 14-day remineralization using a pH-cycling model with daily regimen of three 2-min applications of toothpaste slurry (1:3 toothpaste: water), one 2-h acid exposure, and storage in artificial saliva for the rest of the day. Remineralization was quantified as change in surface microhardness (SMH) of each sample measured before and after toothpaste treatment and expressed as percent remineralization (%Rem). Statistical analyses included paired t tests for within-group changes and one-way ANOVA with Tukey's post hoc tests for between-group comparisons (α = 0.05).

resultsAll groups exhibited significant (paired t test, p < 0.001) increase in SMH from baseline, indicating remineralization. Combining CaP and HAP achieved significantly (ANOVA/Tukey's, p < 0.001) greater %Rem (89.7 ± 3.3) when compared with CaP alone (75.4 ± 5.5), HAP alone (62.4 ± 4.8), or NaF alone (60.3 ± 7.8). While %Rem achieved with CaP alone was significantly (p < 0.001) greater than that of HAP and NaF, there was no significant difference in %Rem between HAP and NaF.

conclusionThis in vitro study demonstrates that CaP alone, and in combination with HAP, increases enamel surface microhardness, confirming that CaP-based formulations are efficient strategies for the remineralization of early caries lesions.

Identifiers

PMID42098072
PMCPMC13153252

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.